Organization Active NPI

JVD Medical Supplies, Corp

  • Durable Medical Equipment & Medical Supplies
  • Hialeah Gardens, FL
National Provider Identifier
1417125709
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JVD MEDICAL SUPPLIES, CORP
Practice address
11117 W Okeechobee Rd
Suite 215
Hialeah Gardens, FL 33018-4212
Phone
(305) 819-2008
Fax
(305) 819-2077
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jesus Valdes Diaz
Title
President
Phone
(305) 819-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary

Addresses

Primary practice location

11117 W Okeechobee Rd
Suite 215
Hialeah Gardens, FL 33018-4212

Mailing address

11117 W Okeechobee Rd
Suite 215
Hialeah Gardens, FL 33018-4212
Phone (305) 819-2008

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1417125709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD",
            "address_2": "SUITE 215",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184212",
            "telephone_number": "305-819-2008",
            "fax_number": "305-819-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD",
            "address_2": "SUITE 215",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184212",
            "telephone_number": "305-819-2008",
            "fax_number": "305-819-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JVD MEDICAL SUPPLIES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "VALDES DIAZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-819-2008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.